A gerontological nurse is assuming the role of an advocate. Which action would exemplify this role?
Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely.
Providing an environment in which the restoration of a client's mobility post-stroke can be realized.
Developing new techniques for the wound care of venous ulcers in an older adult.
Teaching licensed care staff to perform appropriate assessment of lower limb circulation.
The Correct Answer is A
A. Teaching an older adult how to best deal with a daughter trying to gain power of attorney prematurely: Advocacy involves supporting and empowering individuals to make informed decisions about their care and well-being. In this scenario, the nurse is advocating for the older adult's autonomy and rights by providing guidance on navigating a potentially challenging situation involving family dynamics and legal matters.
B. Providing an environment in which the restoration of a client's mobility post-stroke can be realized: Advocacy can also involve creating conducive environments for clients to achieve their health goals. In this case, the nurse is advocating for the client's recovery and functional independence by ensuring access to resources and interventions that support mobility rehabilitation post-stroke.
C. Developing new techniques for the wound care of venous ulcers in an older adult: This action is more aligned with innovation and research rather than advocacy. While it may ultimately benefit older adults with venous ulcers, advocacy typically involves more direct support or action on behalf of individual clients or groups to address their immediate needs or rights.
D. Teaching licensed care staff to perform appropriate assessment of lower limb circulation: This action is focused on education and skill development among healthcare staff rather than advocacy for individual clients. It aims to improve the quality of care provided to older adults but does not directly involve advocating for their rights or needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Educator:
In this role, the nurse imparts knowledge and teaches the client about their health condition, including its causes, symptoms, management strategies, and preventive measures. The nurse provides information in a clear and understandable manner, tailoring the education to the client's individual needs and preferences. In the context of stress incontinence, the nurse may teach the client about pelvic floor exercises, bladder training, lifestyle modifications, and other techniques to manage the condition effectively.
B. Caregiver:
In the role of a caregiver, the nurse provides direct physical care and assistance to the client, such as helping with activities of daily living, administering medications, and providing emotional support. While caring for a client with stress incontinence may involve assisting with hygiene and addressing related concerns, such as skin care, the primary focus of the nurse in this scenario is on educating the client about managing the condition rather than providing hands-on care.
C. Advocate:
As an advocate, the nurse acts on behalf of the client to ensure their rights, preferences, and needs are respected and addressed within the healthcare system. This may involve advocating for appropriate treatment options, facilitating communication between the client and healthcare providers, and helping the client make informed decisions about their care. While advocacy is an important aspect of nursing practice, it may not be the primary role in this scenario, where the focus is on educating the client about managing stress incontinence.
D. Innovator:
The role of an innovator involves implementing new ideas, approaches, or technologies to improve patient care and outcomes. While nurses may engage in innovative practices to address various healthcare challenges, such as developing new treatment protocols or implementing evidence-based interventions, the act of educating a client about managing stress incontinence does not necessarily involve innovation in this context. Instead, it primarily involves applying established knowledge and best practices to meet the client's needs.
Correct Answer is D
Explanation
A. Beginning each day with a set of vital signs obtained for each client: While monitoring vital signs is important, performing this task daily for all clients may not always be necessary and could lead to unnecessary resource utilization. Vital signs should be assessed based on individual client needs and as indicated by their condition or treatment plan.
B. Maintaining a standardized schedule for bathing for all clients: While having a standardized schedule for bathing may streamline workflow, it may not always meet the individual needs and preferences of each client. Flexibility in scheduling based on individual preferences, care needs, and physical condition may be more appropriate to provide personalized care.
C. Encouraging clients' family members to assist with feeding: While family involvement can be beneficial, encouraging family members to assist with feeding may not always be feasible or appropriate for all clients. Some clients may require specialized feeding techniques or supervision by trained staff to ensure safety and proper nutrition.
D. Ensuring that medications are administered by nurses: This option ensures that medications are safely administered by qualified healthcare professionals who are trained to assess medication orders, administer medications correctly, monitor for potential side effects or adverse reactions, and provide education to clients regarding their medications. Adhering to this practice helps prevent medication errors and ensures the safe and effective use of medications, ultimately contributing to quality care and cost-effectiveness.
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